A Case of Placenta Accreta Infection Managed by Hysterectomy After Treatment for Retained Products of Conception With Uterine Artery Embolization and Hysteroscopy
Retained products of conception (RPOC) are frequently associated with previous cesarean section (C-section), abortion, and intrauterine operations, which may affect subsequent pregnancies. A 38-year-old female had a history of C-section and two abortions. After the second abortion, she underwent eva...
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| Veröffentlicht in: | Curēus (Palo Alto, CA) CA), 2023-04, Vol.15 (4), p.e37854 |
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| creator | Fukuoka, Hinata Sato, Hirokazu Okabe, Motonari Togashi, Kazue Oyama, Noriaki |
| description | Retained products of conception (RPOC) are frequently associated with previous cesarean section (C-section), abortion, and intrauterine operations, which may affect subsequent pregnancies. A 38-year-old female had a history of C-section and two abortions. After the second abortion, she underwent evacuation of RPOC and was treated with uterine artery embolization (UAE) and hysteroscopic resection. She became pregnant again and vaginally delivered an infant at full term. After delivery, RPOC was suspected on magnetic resonance imaging (MRI), but the patient was discharged for follow-up. She was rehospitalized with a diagnosis of infection and a placental remnant. Antibiotics did not improve the infection; therefore, she underwent a total hysterectomy. After the operation, signs of infection rapidly improved. The pathological diagnosis was placenta accreta. This case was considered a high-risk group for RPOC. In such rare and complicated cases, it is important to consider the possibility of recurrent RPOC and provide sufficient explanations before delivery for subsequent intensive management. |
| doi_str_mv | 10.7759/cureus.37854 |
| format | Article |
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A 38-year-old female had a history of C-section and two abortions. After the second abortion, she underwent evacuation of RPOC and was treated with uterine artery embolization (UAE) and hysteroscopic resection. She became pregnant again and vaginally delivered an infant at full term. After delivery, RPOC was suspected on magnetic resonance imaging (MRI), but the patient was discharged for follow-up. She was rehospitalized with a diagnosis of infection and a placental remnant. Antibiotics did not improve the infection; therefore, she underwent a total hysterectomy. After the operation, signs of infection rapidly improved. The pathological diagnosis was placenta accreta. This case was considered a high-risk group for RPOC. In such rare and complicated cases, it is important to consider the possibility of recurrent RPOC and provide sufficient explanations before delivery for subsequent intensive management.</description><identifier>ISSN: 2168-8184</identifier><identifier>EISSN: 2168-8184</identifier><identifier>DOI: 10.7759/cureus.37854</identifier><identifier>PMID: 37223160</identifier><language>eng</language><publisher>United States: Cureus Inc</publisher><subject>Abdomen ; Adhesion ; Antibiotics ; Case reports ; Cesarean section ; Embolization ; Fever ; Hysterectomy ; Infections ; Magnetic resonance imaging ; Miscarriage ; Obstetrics/Gynecology ; Placenta ; Pregnancy ; Suctioning ; Surgery ; Ultrasonic imaging ; Uterus</subject><ispartof>Curēus (Palo Alto, CA), 2023-04, Vol.15 (4), p.e37854</ispartof><rights>Copyright © 2023, Fukuoka et al.</rights><rights>Copyright © 2023, Fukuoka et al. This work is published under https://creativecommons.org/licenses/by/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © 2023, Fukuoka et al. 2023 Fukuoka et al.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c267t-5e9a75f4a473a3b99f1bcb92198b3aac4f7bcdaf96028fd1f5a7259a761db3023</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10202672/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10202672/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37223160$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fukuoka, Hinata</creatorcontrib><creatorcontrib>Sato, Hirokazu</creatorcontrib><creatorcontrib>Okabe, Motonari</creatorcontrib><creatorcontrib>Togashi, Kazue</creatorcontrib><creatorcontrib>Oyama, Noriaki</creatorcontrib><title>A Case of Placenta Accreta Infection Managed by Hysterectomy After Treatment for Retained Products of Conception With Uterine Artery Embolization and Hysteroscopy</title><title>Curēus (Palo Alto, CA)</title><addtitle>Cureus</addtitle><description>Retained products of conception (RPOC) are frequently associated with previous cesarean section (C-section), abortion, and intrauterine operations, which may affect subsequent pregnancies. 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In such rare and complicated cases, it is important to consider the possibility of recurrent RPOC and provide sufficient explanations before delivery for subsequent intensive management.</description><subject>Abdomen</subject><subject>Adhesion</subject><subject>Antibiotics</subject><subject>Case reports</subject><subject>Cesarean section</subject><subject>Embolization</subject><subject>Fever</subject><subject>Hysterectomy</subject><subject>Infections</subject><subject>Magnetic resonance imaging</subject><subject>Miscarriage</subject><subject>Obstetrics/Gynecology</subject><subject>Placenta</subject><subject>Pregnancy</subject><subject>Suctioning</subject><subject>Surgery</subject><subject>Ultrasonic imaging</subject><subject>Uterus</subject><issn>2168-8184</issn><issn>2168-8184</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpVkV1L5DAUhsPi4sisd14vAW8dNx9t014tZXAdwUURBy_DSZpoZZqMSbtQf46_1MzHil6dQ_K87znJi9AJJedC5NUvPQQzxHMuyjz7ho4YLcpZScvs4FM_QccxPhNCKBGMCHKIJlwwxmlBjtBbjecQDfYW365AG9cDrrUOJtUrZ43uW-_wX3DwaBqsRrwYY29COvfdiGubenwfDPRdkmLrA75L0tYl-Db4ZtB93HjPvdNmvfV6aPsnvEy6BOE6pGbEF53yq_YVtgC4Zj_FR-3X4w_03cIqmuN9naLln4v7-WJ2fXN5Na-vZ5oVop_lpgKR2wwywYGrqrJUaVUxWpWKA-jMCqUbsFVBWGkbanMQLE-agjaKE8an6PfOdz2ozjSbvwiwkuvQdhBG6aGVX29c-yQf_T9JCSNphY3D6d4h-JfBxF4--yG4tLRkJaNMcF7wRJ3tKJ0eGIOxHyMokZtU5S5VuU014T8_r_UB_8-QvwPOn6MA</recordid><startdate>20230419</startdate><enddate>20230419</enddate><creator>Fukuoka, Hinata</creator><creator>Sato, Hirokazu</creator><creator>Okabe, Motonari</creator><creator>Togashi, Kazue</creator><creator>Oyama, Noriaki</creator><general>Cureus Inc</general><general>Cureus</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope></search><sort><creationdate>20230419</creationdate><title>A Case of Placenta Accreta Infection Managed by Hysterectomy After Treatment for Retained Products of Conception With Uterine Artery Embolization and Hysteroscopy</title><author>Fukuoka, Hinata ; 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| subjects | Abdomen Adhesion Antibiotics Case reports Cesarean section Embolization Fever Hysterectomy Infections Magnetic resonance imaging Miscarriage Obstetrics/Gynecology Placenta Pregnancy Suctioning Surgery Ultrasonic imaging Uterus |
| title | A Case of Placenta Accreta Infection Managed by Hysterectomy After Treatment for Retained Products of Conception With Uterine Artery Embolization and Hysteroscopy |
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